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General NPI Number Information
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NPI Number | 1629381579
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Entity Type | Individual
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Provider Name | MARYANNE F. FOURNIER NP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 25 PELHAM RD STE 203
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City | SALEM
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State | NH
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Zip | 03079-4851
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Country | US
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Telephone | 603-883-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 N SCOTTSDALE RD STE 2500
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN202614
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN202614
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 038180-23
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License Number State | NH
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